Sergio Vargas-Prada1,2, Consol Serra1,2,3, David Coggon4, José Miguel Martínez1,2, Georgia Ntani4, George Delclos1,2,5, Keith T Palmer4, Fernando G Benavides1,2. 1. Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain. 2. CIBER Epidemiología y Salud Pública (CIBERESP), Spain. 3. Department of Occupational Health, Parc de Salut MAR, Barcelona, Spain. 4. MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. 5. Division of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas, Houston, TX, USA.
Abstract
BACKGROUND: Only few longitudinal studies have explored separately predictors of pain incidence and persistence. OBJECTIVE: To investigate whether biological, lifestyle, occupational and psychological risk factors for the development of new episodes of upper limb pain (ULP) differ from those for its persistence. METHODS: Spanish nurses and office workers (1105) were asked at baseline about biological, lifestyle, occupational and psychological risk factors and pain in the past month at six anatomical sites in the upper limb (left and right shoulder, elbow and wrist/hand). At follow up, 12 months later, pain in the past month was again ascertained. Analysis was based on anatomical sites clustered by person. Associations were assessed by multilevel logistic regression models. RESULTS: Nine hundred and seventy-one participants (87.9%) completed follow-up. Job dissatisfaction and older age carried higher risk of new ULP. Somatising tendency (OR 2.2, 95% CI 1.6-3.1) was the strongest predictor of new ULP, with a risk estimate which differed significantly from that for the same exposure and persistence of ULP. Having adverse beliefs about the work-relatedness of ULP carried a significantly reduced risk for persistence of ULP. CONCLUSION: Our study provides only limited evidence that risk factors predicting new ULP differ from those predicting its persistence.
BACKGROUND: Only few longitudinal studies have explored separately predictors of pain incidence and persistence. OBJECTIVE: To investigate whether biological, lifestyle, occupational and psychological risk factors for the development of new episodes of upper limb pain (ULP) differ from those for its persistence. METHODS: Spanish nurses and office workers (1105) were asked at baseline about biological, lifestyle, occupational and psychological risk factors and pain in the past month at six anatomical sites in the upper limb (left and right shoulder, elbow and wrist/hand). At follow up, 12 months later, pain in the past month was again ascertained. Analysis was based on anatomical sites clustered by person. Associations were assessed by multilevel logistic regression models. RESULTS: Nine hundred and seventy-one participants (87.9%) completed follow-up. Job dissatisfaction and older age carried higher risk of new ULP. Somatising tendency (OR 2.2, 95% CI 1.6-3.1) was the strongest predictor of new ULP, with a risk estimate which differed significantly from that for the same exposure and persistence of ULP. Having adverse beliefs about the work-relatedness of ULP carried a significantly reduced risk for persistence of ULP. CONCLUSION: Our study provides only limited evidence that risk factors predicting new ULP differ from those predicting its persistence.
Entities:
Keywords:
Upper extremity; body regions; musculoskeletal pain; risk factors
Authors: J P Bonde; S Mikkelsen; J H Andersen; N Fallentin; J Baelum; S W Svendsen; J F Thomsen; P Frost; A Kaergaard Journal: Occup Environ Med Date: 2005-01 Impact factor: 4.402
Authors: Carol A Kennedy; Benjamin C Amick; Jack T Dennerlein; Shelley Brewer; Starly Catli; Renee Williams; Consol Serra; Fred Gerr; Emma Irvin; Quenby Mahood; Al Franzblau; Dwayne Van Eerd; Bradley Evanoff; David Rempel Journal: J Occup Rehabil Date: 2010-06
Authors: Sergio Vargas-Prada; Consol Serra; José Miguel Martínez; Georgia Ntani; George L Delclos; Keith T Palmer; David Coggon; Fernando G Benavides Journal: Occup Environ Med Date: 2012-08-03 Impact factor: 4.402